Cargando…
Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp
Primary sarcomas of the central nervous system are rare. These tumors is rapid growth often produces mass effect on the brain. Diagnosis is rendered pathologically after resection. Surgical resection is the mainstay treatment and need the adjuvant therapy. We report a 44-year-old female with a menin...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Brain Tumor Society; The Korean Society for Neuro-Oncology; The Korean Society for Pediatric Neuro-Oncology
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114191/ https://www.ncbi.nlm.nih.gov/pubmed/27867931 http://dx.doi.org/10.14791/btrt.2016.4.2.160 |
_version_ | 1782468302416642048 |
---|---|
author | Woo, Lho Hyoung Soo, Yoon Wan Sup, Chung Dong |
author_facet | Woo, Lho Hyoung Soo, Yoon Wan Sup, Chung Dong |
author_sort | Woo, Lho Hyoung |
collection | PubMed |
description | Primary sarcomas of the central nervous system are rare. These tumors is rapid growth often produces mass effect on the brain. Diagnosis is rendered pathologically after resection. Surgical resection is the mainstay treatment and need the adjuvant therapy. We report a 44-year-old female with a meningeal sarcoma of frontal meninges. She complained headache for 2 months and palpable forehead mass for 3 weeks. Brain MRI demonstrated a soft tissue mass sized as 5.3×3.7×3.1 cm with well-defined osteolysis on the midline of the frontal bone. The mass attached to anterior falx without infiltration into the brain parenchyme. The tumor had extracranial and extraaxial extension with bone destruction. The tumor was totally removed with craniectomy and she had an adjuvant radiotherapy. However, an isolated subcutaneous metastasis developed at the both preauricular area of the scalp, originating from the scar which was remained the first surgery. After complete removal of this metastasis, she had an adjuvant radiotherapy in other hospital. However, she expired after six months after first surgery. We believe that the occurrence of tumor seeding at the site of incision in the scalp is related to using the fluid for irrigation after tumor resection and the same surgical instruments for the removal of the brain tumor. |
format | Online Article Text |
id | pubmed-5114191 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Korean Brain Tumor Society; The Korean Society for Neuro-Oncology; The Korean Society for Pediatric Neuro-Oncology |
record_format | MEDLINE/PubMed |
spelling | pubmed-51141912016-11-19 Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp Woo, Lho Hyoung Soo, Yoon Wan Sup, Chung Dong Brain Tumor Res Treat Case Report Primary sarcomas of the central nervous system are rare. These tumors is rapid growth often produces mass effect on the brain. Diagnosis is rendered pathologically after resection. Surgical resection is the mainstay treatment and need the adjuvant therapy. We report a 44-year-old female with a meningeal sarcoma of frontal meninges. She complained headache for 2 months and palpable forehead mass for 3 weeks. Brain MRI demonstrated a soft tissue mass sized as 5.3×3.7×3.1 cm with well-defined osteolysis on the midline of the frontal bone. The mass attached to anterior falx without infiltration into the brain parenchyme. The tumor had extracranial and extraaxial extension with bone destruction. The tumor was totally removed with craniectomy and she had an adjuvant radiotherapy. However, an isolated subcutaneous metastasis developed at the both preauricular area of the scalp, originating from the scar which was remained the first surgery. After complete removal of this metastasis, she had an adjuvant radiotherapy in other hospital. However, she expired after six months after first surgery. We believe that the occurrence of tumor seeding at the site of incision in the scalp is related to using the fluid for irrigation after tumor resection and the same surgical instruments for the removal of the brain tumor. The Korean Brain Tumor Society; The Korean Society for Neuro-Oncology; The Korean Society for Pediatric Neuro-Oncology 2016-10 2016-10-31 /pmc/articles/PMC5114191/ /pubmed/27867931 http://dx.doi.org/10.14791/btrt.2016.4.2.160 Text en Copyright © 2016 The Korean Brain Tumor Society, The Korean Society for Neuro-Oncology, and The Korean Society for Pediatric Neuro-Oncology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Woo, Lho Hyoung Soo, Yoon Wan Sup, Chung Dong Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp |
title | Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp |
title_full | Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp |
title_fullStr | Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp |
title_full_unstemmed | Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp |
title_short | Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp |
title_sort | seeding of meningeal sarcoma along a surgical trajectory on the scalp |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114191/ https://www.ncbi.nlm.nih.gov/pubmed/27867931 http://dx.doi.org/10.14791/btrt.2016.4.2.160 |
work_keys_str_mv | AT woolhohyoung seedingofmeningealsarcomaalongasurgicaltrajectoryonthescalp AT sooyoonwan seedingofmeningealsarcomaalongasurgicaltrajectoryonthescalp AT supchungdong seedingofmeningealsarcomaalongasurgicaltrajectoryonthescalp |